Organization Active NPI

Georgetown Family Emergency Center, LLC

  • Emergency Care Clinic/Center
  • Georgetown, TX
National Provider Identifier
1669984498
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
GEORGETOWN FAMILY EMERGENCY CENTER, LLC
Practice address
1210 W University Blvd
Georgetown, TX 78628
Phone
(512) 260-2732
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Campbell
Title
Claims Analyst
Phone
(512) 948-1752

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

1210 W University Blvd
Georgetown, TX 78628

Mailing address

1464 E Whitestone Blvd Ste 1101
Cedar Park, TX 78613-9070
Phone (512) 309-8925

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2146827Georgetown Family Emergency Center1210 W University, Georgetown, TX 78628AccreditationMay 14, 2027

National Provider Directory

National Provider Directory

Locations

1210 W University Ave
Georgetown, TX 78628
Phone (512) 690-4590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1669984498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 1101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139070",
            "telephone_number": "512-309-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W UNIVERSITY BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78628",
            "telephone_number": "512-260-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN FAMILY EMERGENCY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLAIMS ANALYST",
        "authorized_official_telephone_number": "512-948-1752"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.